First aid of fracture well" three"

China's traditional Chinese medicine reported

        Anti shock: should be aimed at the causes that lead to shock to be treated, to treat with anti, prevention and treatment principles. Open fracture can be clean or clean cloth covering the wound dressing, hemostasis by compression bandage. General without tourniquet, when used to record the time, usually one hour is appropriate, not longer than two hours, it must be timed release of the tourniquet for 10 ~ 15 minutes, to prevent limb ischemia necrosis induced by. The pain should not blindly use of pain medication, in clear no abdominal visceral injury case for pain treatment.

        Pollution prevention: the wound dressing has a medical condition should be first debridement treatment, ensure sterile, to protect the wound from being polluted; if no treatment conditions, can also be used to clean cloth dressing. Generally do not own will highlight the outer end of the bone wound induction, in order to prevent the bacteria into the body caused by deep tissue and bone infection.

        Avoid aggravating the injury: a temporary fixing the injured limb fixing equipment is best to use plywood, bamboo, wooden pole can also be used, instead of, in case of emergency can also be limb and uninvolved limbs or trunk line of provisional fixed, such as upper extremity can be fixed on the lower side, and uninvolved limbs tied together. Spine fracture patients need to supine position, preferably lie in a quilt on the hard. In order to avoid injury to the vessel, nerve and vital organs, lift delivers fracture patients when the action should be gentle, smooth, rapid. Handling should adopt three handling method, namely three people at the same time, side by side with hands respectively hold squatting, the patient's head, shoulder, back, buttocks and lower limbs, keep the patient supine, while gently to lift patients hard-board stretcher, then be fixed to prevent shaking. On the cervical spine injury patients, should be the head fixed in neutral position, head lined pad sandbag or appropriate hard fixed, in order to prevent neck rotation, aggravate the injury. Spinal injury patients in order to avoid wound mobile, more should not allow patients to sit or stand. ( Hu Wenying Qiu Yong He )